Evergreen Coaching & Counseling, Inc.

LBN: Evergreen Coaching & Counseling, Inc.
Evergreen Coaching & Counseling, Inc. is an health care organization with primary practice located at 411 E Park St Ste 106 , Champaign IL 61820-3862. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Evergreen Coaching & Counseling, Inc. can be contacted via phone (217) 714-7042, or through Thomas-Stagg, Jonathan William via phone (217) 714-7042.

Contact Information

Primary practice address
411 E Park St Ste 106 Champaign IL 61820-3862
Phone: (217) 714-7042
Fax: (866) 216-6514
Website:
Map and Directions
Authorized official contact:
Name: Thomas-Stagg, Jonathan William PSYCHOLOGIST
Phone: (217) 714-7042

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1265114219
LBN Legal business name Evergreen Coaching & Counseling, Inc.
DBA Doing business as
Authorized official Thomas-Stagg, Jonathan William PSYCHOLOGIST
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2023
Last updated Aug 28th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers